Adjusting to the physical changes post-surgery can be difficult, and finding the right mastectomy bra is one of the most important steps in the process. Need help buying food because of recent disasters in your area? Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Homeless Household Households that have no regular nighttime residence or that live in: Hotline (TANF/SNAP Complaints) Toll-free number (877-787-8999) where staff receive complaints for Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP) cases. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Fair Market Value Amount of money an item would bring if sold in the current local market. action has been initiated on an Eligibility Determination Group (EDG) in a case (Intake, Complete Action, Change Action, Special Review, Conversion); allthe EDGs in a case are approved (Ongoing); and. Special Immigrant Iraqi and Afghan (SIV) A special immigrant status under 101(a)(27) of the INA may be granted to Iraqi and Afghan people who have worked on behalf of the U.S. government in Iraq or Afghanistan. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). SeeInterview ModeandCase Mode. Copayment Payment made directly to a provider according to a fee schedule. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). We recommend creating an account so you can: Get alerts about updates to your application. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. You'll get an email or text when there'sa form or notice available online in yourMessage Center. Citizenship and Immigration Services [USCIS] Form I-864 or I-864-A) on or after Dec. 19, 1997, agreeing to support an alien as a condition of the alien's entry into the U.S. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Continuing Scheme A situation in which a recipient commits two or more acts. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. Liquid Resources Resources that are readily negotiable, such as cash, checking or savings accounts, Electronic Benefit Transfer (EBT) cash account, savings certificates, stocks or bonds. Those who see several doctors each month and make questionable visits to hospital emergency rooms are limited to seeing one doctor or using one pharmacy for a minimum of six months. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. This gives a source of citizenship or alien status verification for certain Medical Programs. Licensed Practitioner A person who has met certain educational requirements and passed an examination to be licensed in the state of Texas and regulated by a state board. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. For more information, including who is eligible, click HERE. minimum service has little or no presence of Choices staff. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. The code is used to request permission to use the Lone Star Card in a transaction. Temporary Assistance for Needy Families (TANF) A child who meets the definition of deprivation and who lives with a relative who meets the relationship requirement. The EDG includes members who are eligible and may include members who are not certified for benefits. SeeBatch Processing. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Examples include a fee for an art class that is part of an adult day care program, equipment fees or an extra cost for participation in a field trip as part of a summer program. Self-Employed Individual Retirement Account (IRA), Simple IRA, and Qualified Plan Deductions A federal income tax deduction for self-employed people or partners in a business. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. Generally, to qualify for SNAP, non-citizens must meet one of the following criteria: Have lived in the United States for at least 5 years. Catchment Area The area covered by service. The automated process uses existing applicant information, electronic data source information and reasonable compatibility when income verification is required. Indigent Alien A sponsored alien whose total income in the month of application does not exceed 130 percent of the federal poverty level for the alien's household size. TWC has designated all counties in Texas as Choices counties, and the Local Workforce Development Boards (LWDBs), after coordination with the Texas Health and Human Services Commission (HHSC) state office, assign a service level designation for each county depending upon services available in that county. Medicaid & CHIP in . Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Case Mode Status of a case that identifies that: Case Number A unique 10-digit number that identifies a group of Eligibility Determination Groups (EDGs). Electronic Benefit Transfer (EBT) Card A plastic card called the Lone Star Card issued to primary and secondary cardholders that allows the cardholders access to the benefits in the EBT system. Click here to re-activate your account. Able Bodied Adult Without Dependents (ABAWD) A person, 18 through 50 who: The ABAWD age criteria begins the month after the person turns 18 and ends the month the person turns 50. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. lives with another person and they represent themselves to the community as married. Customs and Border Protection is responsible for border security functions. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. This figure represents food, clothing, housing, utilities and incidentals. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. Budgetary Needs The full basic needs amount as defined by Texas Health and Human Services Commission (HHSC) necessary for a family to obtain food, clothing, housing, utilities, and incidentals such as phone, laundry, and recreation. With this type of access, a person can view and change an application created under their username. Falsified Interview An interview with agency personnel at which time the individual does not report all current income or accurate circumstances. The amount the employer pays is counted as part of the person's gross income. Three Months Prior The three-month period before the Medicaid application month. Ongoing Benefits Benefits issued for months after the initial benefit month. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. Newborn Child A child receiving Type Program (TP) 45, Medical Assistance for Newborn Children, because the child's mother was eligible for and received Medicaid coverage at time of the child's birth or whose mother was eligible for and received Medicaid coverage retroactively for the time of the child's birth. The user name or password is incorrect. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. See Permissible Purpose. Cost-Sharing Reductions Federal payments toward out-of-pocket costs made for an eligible person enrolled in a qualified health plan (QHP) through the Marketplace. an applicant or a certified Temporary Assistance for Needy Families (TANF); Supplemental Nutrition Assistance Program (SNAP)or Medical Program household member or a member who would be certified but is disqualified; or. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. An example of a publicly operated community residence that is not a public institution is a county homeless shelter with a capacity of up to 16 people. Explore health plans for you and your family, including short-term gap coverage and more. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. Personal Representative A person who can represent another person's rights with respect to individually identifiable health information. Recoupment Withholding part of a person's current benefit because of a previous overpayment. Child support may be: Child Support Disregard The first $75 of the total child support collected in a month that is subtracted before determining TANF eligibility or benefits. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. A molar pregnancy is considered a normal pregnancy that terminates early because of miscarriage or abortion. receives Supplemental Nutrition Assistance Program (SNAP) benefits; is physically and mentally able to work at least an average of 20 hours per week; is not a member of a SNAP Eligibility Determination Group (EDG) where a household member on the SNAP EDG is under 18; and is not pregnant. Transitional Medical Assistance (TMA) Medicaid coverage provided after denial of certain Eligibility Determination Groups (EDGs) because of new or increased earnings or new or increased spousal support income. request an alert and send it to another user; generate manual correspondence on a case; and. Trust Property held by one person for the benefit of another. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. It must take place before the person receives a seventh warrant. Fixed Income Unearned income that does not vary. Unauthorized access to this site and misuse of its information assets may be prosecuted under Texas State statutes regarding the use of individually identifiable personal health information (PHI) and The United States regulations and laws regarding the use of individually identifiable personal health information (PHI). Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. receive copies of the applicants or recipient's notices in the preferred language selected on the application and other communications from the agency; act on behalf of the applicant or recipient in all other matters with the agency, such as reporting changes. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. SeeDetail Page. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. Note: Not all aliens must obtain a sponsor before being admitted into the U.S. Alimony Payments received from a spouse or former spouse under a divorce or separation decree. Complete Review A re-evaluation of ongoing eligibility. Manual Voucher Transaction A paper-based debit transaction completed by the food retailer when the automated Electronic Benefit Transfer (EBT) system is down or unavailable. Be receiving disability-related assistance or benefits. Do you want to keep working on your application, or start a new one? causing serious dysfunction of any bodily organ or part. Duplicate Application An application filed after another application has already been filed and the new application: Earned Income Income a person receives for a certain activity or work. To find out if you might be eligible for Medicaid in Texas, visit yourtexasbenefits.com Modified Adjusted Gross Income (MAGI) Household Income The sum of every person's MAGI individual income within an applicants or recipients MAGI household composition, from which is subtracted the standard MAGI disregard. Educator Expenses Expenses for which educators, kindergarten through grade 12 teachers, counselors, principals or aides can receive a federal income tax deduction. Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. Managed Care A health care delivery system with the aim of controlling costs. Fugitive An individual fleeing to avoid prosecution of or confinement for a felony criminal conviction or found by a court to be violating federal or state probation or parole. Royalty A payment to a person for permitting another to use or market property. Individually Identifiable Health Information Information that either identifies or could be used to identify a person that relates to the: Ineligible Alien A non-citizen whose alien status makes them ineligible for program benefits. You can buy individual coverage through: An insurance company or health maintenance organization (HMO) A licensed health insurance agent who has a relationship with one or more insurance companies ; Healthcare.gov, the online federal health insurance Marketplace ; The Plan Finder on Healthcare.gov for individuals and small businesses A child who will not graduate until after the month of their 19th birthday is not considered a dependent child after the month of their 18th birthday. Immigration and Customs Enforcement handles immigration enforcement; and. Your case visibility account has been disabled because of inactivity. Priority Supplemental Nutrition Assistance Program (SNAP) Issuances Expedited SNAP benefits, benefits issued on or after the 25th day from the date of application, and issuances ordered by a hearing officer decision that must be made available in order to meet fair hearing timeliness requirements. Expenses of Fee-Basis Government Officials Federal income tax deductible employment-related expenses paid for or accrued by employees of a state or political subdivision who are compensated on a fee basis. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. Benefit Issuance The functional area that supports the issuance and tracking of benefits calculated in the Eligibility Determination Benefit Calculation (EDBC) and authorized in disposition. The Veterans Land Board (VLB) Land Loan Program provides financing on tracts for eligible veterans up to $150,000 with a minimum 5% down payment and a fixed-rate 30-year loan term. To start a new session, you must close the browser window. Qualified Health Plan (QHP) A private insurance plan that is certified by the Marketplace, provides essential health benefits, follows established limits on cost-sharing (such as deductibles, copayments, and out-of-pocket maximum amounts), and meets certain other requirements. Your information has not been sent. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. Commingled Resources Resources of a Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI) recipient combined with those of a non-TANF or SSI household member. The discovery date is compared with the report date to determine whether a change is reported timely. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. createcorrespondence and reports based on system-requested and user-requested criteria. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. The site is secure. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. Unemployment Benefits Services allows individuals to submit new applications for unemployment benefits, submit payment requests, get claim and payment status information, change their benefit payment option, update their address or phone number, view IRS 1099-G information, and respond to work search log requests. Moving Expenses Federal income tax deductible expenses an active duty member of the military may claim for relocating to a new duty station. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. TSAP provides a 36-month certification period. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. Changes in income identified through this process may impact eligibility for other programs. In-Kind Contribution Any gain or benefit to a person that is not in the form of money paid directly to the person such as clothing, public housing or food. Medical Programs that follow modified adjusted gross income (MAGI) rules, except Childrens Health Insurance Program (CHIP) perinatal Only one person is certified on the EDG. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. Passive Renewal A process by which the Texas Integrated Eligibility Redesign System (TIERS) automatically recertifies a Former Foster Care in Higher Education (FFCHE) active Eligibility Determination Group (EDG) for another certification period. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. Expenses of Reservists Federal income tax deductible expenses for National Guard and military reserve members who traveled more than 100 miles from home for service. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . Manage Office Resources (MOR) The functional area that supports the administrative structure in the Texas Integrated Eligibility Redesign System (TIERS) and relationships between regional offices and their local offices, units, and employees. The person must be a legal parent(s) or other caretaker relative within the required degree of relationship who meets the income limits for that program. Non-Employment and Training (E&T) Counties Those Texas counties where the Texas Workforce Commission (TWC) determines it does not have enough offices to assist people who are mandatory work registrants. To exit from this workflow, click on Exit. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. These are given to a SNAP household that either incurs a heating or cooling cost separate from the rent or received a Low-Income Home Energy Assistance Program (LIHEAP) payment.